A nurse is administering diphenhydramine (Benadryl) to a client experiencing a minor allergic reaction. Which information would the nurse include in the client's teaching plan regarding diphenhydramine (Benadry)? (Select All that Apply.)

This medication (Benadryl) targets h2 receptors to alleviate symptoms.

Take this medication on an empty stomach before breakfast. Drowsiness is a common side effect of diphenhydramine (Benadryl)

Avoid CNS depressants while taking diphenhydramine (Benadryl)

This medication is a 2nd generation antihistamine.

Paradoxical reactions can be seen with this medication.

Answer and Explanation

Correct Answer : C,E

A. This medication (Benadryl) targets H2 receptors to alleviate symptoms: This statement is incorrect. Diphenhydramine is an H1 receptor antagonist, not an H2 antagonist. H1 receptors are primarily involved in allergic reactions, whereas H2 receptors are related to gastric acid secretion.

B. Take this medication on an empty stomach before breakfast. Drowsiness is a common side effect of diphenhydramine (Benadryl): While drowsiness is indeed a common side effect, taking diphenhydramine on an empty stomach is not necessarily required and may lead to gastrointestinal discomfort. It can be taken with food if preferred.

C. Avoid CNS depressants while taking diphenhydramine (Benadryl): This is an important teaching point. Diphenhydramine can cause sedation, and the use of other CNS depressants (like alcohol or sedatives) can enhance this effect, increasing the risk of excessive drowsiness or other complications.

D. This medication is a 2nd generation antihistamine: This statement is incorrect. Diphenhydramine is actually a first-generation antihistamine. First-generation antihistamines tend to cause more sedation and other side effects compared to second-generation antihistamines, which are less sedating.

E. Paradoxical reactions can be seen with this medication: This is true. In some individuals, particularly children, diphenhydramine can cause paradoxical reactions, such as increased excitability or hyperactivity, rather than the expected sedation. This is an important consideration to discuss with clients.

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Correct Answer is A

Explanation

A. "Make sure to use this each time I feel an asthma attack coming on": This statement indicates a need for further education. LABAs are not intended for immediate relief of acute asthma symptoms or attacks; they are designed for long-term control and prevention of symptoms. Clients should use a short-acting beta agonist (SABA) for quick relief during an asthma attack, not a LABA.

B. "I know that these drugs can sometimes make my heart beat faster": This statement reflects an understanding of a potential side effect of LABAs. Increased heart rate is a known side effect, and it is important for clients to be aware of this possibility.

C. "I've heard that this drug sometimes gets less effective over time": This statement is accurate. Tolerance can develop with LABA use, and clients should be informed about this possibility to monitor their symptoms and report any changes to their healthcare provider.

D. "I've heard that this drug is particularly good at preventing asthma attacks during exercise": This statement is correct. LABAs can be beneficial for preventing exercise-induced bronchospasm when used as part of a regular asthma management plan, and clients should understand this use.

A. Ipratropium is the drug of choice for acute asthma exacerbations. B. Mechanism of action includes blocking acetylcholine receptors in the airway C. Mechanism of action includes antagonizing histamine receptors of the upper airway. D. Client's who are allergic to soybean should avoid taking ipratropium. E. Urinary Retention is a side effect of Ipratropium bromide F. Ipratropium (Atrovent) is a medication for asthma and chronic obstructive pulmonary disease (COPD)

Correct Answer is ["B","D","E","F"]

Explanation

A) Ipratropium is the drug of choice for acute asthma exacerbations: This statement is incorrect. While ipratropium is used in the management of asthma, it is not the first-line treatment for acute exacerbations. Short-acting beta-agonists, such as albuterol, are the preferred choice for rapid relief during an acute asthma attack due to their quick onset of action.

B) Mechanism of action includes blocking acetylcholine receptors in the airway: This statement is accurate. Ipratropium is an anticholinergic agent that works by blocking acetylcholine receptors in the bronchial smooth muscle. This action leads to bronchodilation and helps to decrease mucus production, making it effective for managing airway constriction.

C) Mechanism of action includes antagonizing histamine receptors of the upper airway: This statement is incorrect. Ipratropium does not act on histamine receptors; rather, it specifically targets acetylcholine receptors. Antihistamines are the medications that block histamine receptors, primarily used for allergic reactions and rhinitis, but not for bronchodilation in asthma.

D) Client's who are allergic to soybean should avoid taking ipratropium: This statement is true. Ipratropium bromide may contain soy lecithin, which can pose a risk for patients with soybean allergies. Therefore, it is essential for healthcare providers to assess a patient’s allergy history before prescribing this medication.

E) Urinary retention is a side effect of Ipratropium bromide: This is correct. Anticholinergic medications, including ipratropium, can lead to urinary retention as a side effect due to their action of inhibiting acetylcholine, which plays a role in bladder function. Patients should be monitored for this side effect, especially if they have a history of urinary issues.

F) Ipratropium (Atrovent) is a medication for asthma and chronic obstructive pulmonary disease (COPD): This statement is accurate. Ipratropium is indicated for both asthma and COPD management, as it helps to relieve bronchospasm and improve airflow. It is often used as an adjunct therapy in combination with other bronchodilators for better management of respiratory conditions.

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A nurse is administering diphenhydramine (Benadryl) to a client experiencing a minor allergic reaction. Which information would the nurse include in the client's teaching plan regarding diphenhydramine (Benadry)? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client's severe asthma has necessitated the use of a long-acting beta2-agonist (LABA). Which of the client's statements suggests a need for further education?

Correct Answer is A

Explanation

A client currently taking ipratropium (Atrovent) presents to the healthcare setting for reevaluation of his current asthma status. Which of the following statements apply to ipratropium (Atrovent)? (Select All that Apply.)

Correct Answer is ["B","D","E","F"]

Explanation

A client who has been diagnosed with exercise-induced asthma is prescribed zafirlukast (Accolate). Which of the following adverse effects would the nurse inform the client regarding zafirlukast (Accolate)?

A client frequently takes diphenhydramine (Benadryl) to alleviate his upper respiratory symptoms associated with allergies. Which of the following mechanism of actions applies to diphenhydramine (Benadryl)?

A client who suffers from severe persistent allergic asthma is prescribed omalizumab (Xolair). Which statement below correctly describes the mechanism of action associated with omalizumab (Xolair)?

The nurse is preparing to administer albuterol to a client experiencing an acute asthma attack. Which medication on the client's medical record is a direct contraindication to albuterol administration?

A nurse is teaching a client with a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use when experiencing an acute asthma attack?

A nurse is teaching a client who has a new prescription for dextromethorphan. The nurse should instruct the client to monitor for which of the following adverse effects when taking dextromethorphan?

A client suffering from asthma is placed on theophylline to reduce the frequency of acute attacks. Which of the following adverse effects would the nurse caution the client prior to discharge?

The nurse is caring for a 18-year-old client who has recently been prescribed montelukast. Which statement made by the client indicates understanding of the newly prescribed medication?